Medical Management Claims Supervisor

Employer
Erie Insurance
Location
Hagerstown, MD
Posted
Jul 17, 2017
Closes
Jul 20, 2017
Function
Management
Hours
Full Time
Job Description Position Summary Supervises, trains and monitors the activities of assigned medical management specialists and other claims personnel. Duties and Responsibilities Manages overall operations of designated area of authority. Interviews, hires, trains and directs personnel. Prepares and conducts performance assessments, coordinates discipline and oversees Employee development as required. When appropriate, sets up files for specialists, checking for coverage, adequate reserves and acts as a resource for answering claims questions. Provides additional services as required. Reviews claim correspondence and provides counsel on further action. Maintains and applies a working knowledge of specialist's files. Resolves coverage or unusual questions within designated authority. Conducts related research as necessary. Reviews claims in process on a regular basis according to diary system and at other appropriate times. Takes action as necessary. Makes recommendations to and participates with claims manager in developing and evaluating claims procedures. Receives and directs processing of legal papers served upon ERIE involving claims action. Also directs activities of outside legal counsel as required. Competencies Ability To Learn And Follow Procedures Ability to Manage Complexity Business Acumen Decision Making Developing And Maintaining Relationships Information Management Skills Interpersonal Communication Job-Specific Knowledge Leadership Skills Planning And Organizing Problem Analysis Service Orientation Time Management Qualifications Minimum Required Education Equivalents Bachelor's degree and two years of previous medical management claims adjusting or equivalent experience, required; or Associate's degree and four years of previous medical management claims adjusting or equivalent experience, required; or High school diploma or GED and six years of previous medical management claims adjusting or equivalent experience, required. Knowledge of medical terminology and medical coding required. Completion of Associate in Claims (AIC) designation preferred. Valid driver's license required. Physical Requirements Lifting 0-20 lbs; Occasional ( Lifting 20-50 lbs; Occasional ( Lifting Over 50 lbs; Occasional ( Driving; Occasional ( Pushing/Pulling; Occasional ( Manual Keying/Data Entry; Often (20-50%) Climbing; Rarely Nearest Major Market: Hagerstown Job Segment: Claims, Adjuster, Insurance